• Perform ongoing clinical data review to ensure data quality, consistency, and completeness • Identify discrepancies and raise/resolve queries in EDC systems • Review patient data including eligibility, medical history, treatment, safety data, and outcomes • Contribute to and follow the Data Review Plan (DRP) • Cross-check data across multiple sources (e.g., EDC, labs, safety databases) • Support data cleaning activities ahead of interim analyses and database lock • Collaborate with Clinical, Data Management, and Operations teams to resolve data issues • Monitor site data entry performance and escalate risks or delays • Participate in study meetings and provide status updates on data review activities • Ensure compliance with GCP, protocols, and regulatory requirements

• Identify errors in data through data review • Perform ongoing review of clinical participant data • Issue and follow up on clinical data queries • Monitor site data entry performance • Collaborate with clinical teams for data review

Title: Clinical Reviewer - (Remote) Location: United States Job Description: Remote Working time Full-time Description & Requirements Maximus is hiring a Clinical Reviewer to support the Illinois SALT program. The Clinical Reviewer is responsible for evaluating assessments and making determinations regarding individuals' needs for additional supports and services. This role includes conducting quality control reviews of field assessors' work to ensure accuracy and compliance. Training Schedule: - Monday to Friday, 8:00 AM – 5:00 PM CST Post-Training Work Schedule: - Thursday to Sunday, 8:00 AM - 6:30 PM CST About the program We have contracted with the State of Illinois Department of Healthcare and Family Services (HFS) to manage the assessment process for Preadmission Screening and Resident Review (PASRR) Level I screens and completing Level II Serious Mental Illness (SMI) evaluations for individuals applying to, or residing in, Medicaid-certified nursing facilities. Other services include Follow Up Visits, admissions support for Specialized Mental Health Rehabilitation Facilities (SMHRF) and Supported Living Programs (SLP) settings and Colbert Dementia Review. Continues to expand assessment services in the state. Why Maximus? - Work/Life Balance Support - Flexibility tailored to your needs! - Competitive Compensation - Bonuses based on performance included! - Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. - Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - Tuition Reimbursement - Invest in your ongoing education and development. - Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - Professional Development Opportunities-Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or recommendations based on contract requirements. - Identify need for additional clinical documentation or consultation. - Complete documentation of activities within contract systems. - Communicate with providers, individuals and their designees, or state workers as required. - Performs other related duties as assigned. Required Skills/Abilities: - Preferred knowledge may include community support programs, long-term care assessment and level of care in medical, behavioral health or related programs - Knowledge and understanding of medical and/or behavioral health diagnoses and prescribed medications - Ability to collect data, define problems, establish facts, and draw valid conclusions Minimum Requirements - Education and licensure requirements are based on program contract requirements and are outlined in job posting - High School Degree or equivalent required - Minimum 1 year of clinical experience required - Master’s Degree in Social Work, Mental Health or related degree program - Minimum of two (2) years post-graduate work experience in the mental health field - Minimum of two (2) years experience conducting mental health assessments - Proficiency in Microsoft office Applications Preferred Requirements: - Demonstrates outstanding interpersonal and verbal communication skills - Demonstrates strong proficiency in written communication, producing concise and impactful documentation - IM+CANS certification or willingness to obtain IM+CANS certification - Strong computer skills - Knowledgeable about PASRR Home Office Requirements: - Maximus provides company-issued computer equipment - Reliable high-speed internet service - Minimum 20 Mbps download speeds/50 Mbps for shared internet connectivity - Minimum 5 Mbps upload speeds - Private and secure workspace #ClinicalServices #LI-Remote EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations Minimum Salary $ 25.07 Maximum Salary $ 30.67

Role Description Provide independent medical documentation review and functional capacity analysis to support RA determinations under the Rehabilitation Act of 1973 and aligned with EEOC. - No patient care - No medical exams - Record based review only (paper file review) - Physician (MO/DO) Qualifications - Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school. - Licensed physician in at least one U.S. jurisdiction with an active, unrestricted medical license in good standing is required. - Board certification or board eligible in a relevant specialty (preferred internal medicine, family medicine, psychiatry). - Minimum 5 - 7 years of progressively responsible post-residency relevant clinical practice experience. - Demonstrated ability to independently review and interpret complex medical documentation, including the duration (temporary vs. permanent). - Demonstrated experience reviewing multi-system medical records, chronic, acute, and episodic conditions. - Experience assessing functional limitations, and preparation of written clinical opinions for non-clinical review requiring advance medical judgement. - Familiarity with American with Disability Act, Reasonable Accommodations Program, prior experience writing medical legal opinions. Requirements - Conduct independent review of medical documentation. - Analyze diagnosis and sufficiency, and functional limitations (not just the condition). - Alignment with essential job functions. - Provide written clinical opinions including whether impairment substantially limits major life activities, functional restrictions and duration, consistency of documentation, and need for clarification or additional medical information with recommended follow-up questions. - Advising on medical plausibility of requested accommodations. - HIPPAA aligned confidentiality. - Defensible, audit ready documentation. Company Description AdNet/AccountNet, Inc. is an 8(a), WOSB, and WBE-owned management consulting firm founded in 1990. We blend the best people with the ongoing demands of the workplace by providing high-quality staffing and executive search services.